Catholic Childrens Home INC

NPI #1699733006 in Alton, Illinois

Provider Information

NPI Number: 1699733006
Entity Type: Organization
Organization Name: Catholic Childrens Home INC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: May 3, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1400 STATE ST
City: Alton
State: Illinois
ZIP Code: 62002
Phone: (618) 465-3594

Authorized Official

Name: MR. STEVEN E ROACH
Title: EXECUTIVE DIRECTOR
Phone: (217) 523-9201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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